宫颈提拉式缝合术联合卡前列甲酯栓治疗瘢痕子宫剖宫产术中子宫下段出血的临床效果  

Clinical Effect of Cervical Pull-up Suture Combined with Carboprost Methylate Suppositories in the Treatment of Low-segment Uterine Bleeding during Caesarean Section of Scar Uterus

作　　者：徐晓琳 徐紫娟 刘倩 刘菊花 余淑勤 XU Xiaolin;XU Zijuan;LIU Qian;LIU Juhua;YU Shuqin(Department of Obstetrics and Gynecology,Shangrao Municipal Hospital,Shangrao 334000,China)

机构地区：[1]上饶市立医院妇产科,江西上饶334000

出　　处：《中国医学创新》2025年第7期81-84,共4页Medical Innovation of China

基　　金：上饶市科技计划项目(2023CZDX145)。

摘　　要：目的:探究宫颈提拉式缝合术联合卡前列甲酯栓治疗瘢痕子宫剖宫产术中子宫下段出血的效果。方法:根据不同治疗方法将上饶市立医院2022年6月—2023年6月收治的82例瘢痕子宫剖宫产产妇分为试验组和对照组,各41例。对照组接受常规缝合止血术,试验组在对照组基础上接受宫颈提拉式缝合术联合卡前列甲酯栓。比较两组手术一般情况、术后恢复情况及并发症发生情况。结果:试验组手术时间短于对照组,术中出血量、术后24 h出血量均显著少于对照组,差异均有统计学意义(P<0.05)。试验组患者均未接受输血,对照组血浆、红细胞悬液输入量分别为(312.96±33.74)mL、(562.45±68.81)mL。试验组住院时间、血性恶露持续时间、月经复潮时间均显著短于对照组,差异均有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(7.32%vs 14.63%,P>0.05)。结论:宫颈提拉式缝合术联合卡前列甲酯栓治疗瘢痕子宫剖宫产术中子宫下段出血的效果显著,能有效减少出血量和输血量,促进术后康复。Objective:To investigate the effect of cervical pull-up suture combined with Carboprost Methylate Suppositories in the treatment of low-segment uterine bleeding during caesarean section of scar uterus.Method:A total of 82 parturients with caesarean section of scar uterus admitted to Shangrao Municipal Hospital from June 2022 to June 2023 were divided into experimental group and control group according to different treatment methods,with 41 cases in each group.The control group received conventional suture hemostasis,and the experimental group received cervical pull-up suture combined with Carboprost Methylate Suppositories based on the control group.The general conditions of operation,postoperative recovery and complications were compared between the two groups.Result:The operation time of experimental group was shorter than that of control group,and the intraoperative bleeding volume and bleeding volume 24 h after operation were significantly lower than those of control group,the differences were statistically significant(P<0.05).None of the patients in the experimental group received blood transfusion,and the plasma and cell suspension inputs in the control group were(312.96±33.74)mL and(562.45±68.81)mL,respectively.The hospital stay,the duration of lochia rubra and menstrual rehydration time of experimental group were significantly shorter than those of control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(7.32%vs 14.63%,P>0.05).Conclusion:Cervical pull-up suture combined with Carboprost Methylate Suppositories is effective in the treatment of low-segment uterine bleeding during caesarean section of scar uterus,which can effectively reduce the bleeding volume and blood transfusion,and promote postoperative rehabilitation.

关 键 词：瘢痕子宫 剖宫产 宫颈提拉式缝合术 卡前列甲酯栓 

分 类 号：R719.8[医药卫生—妇产科学]